A comparative study of postpartum intrauterine contraceptive device acceptance between primiparous and multiparous women in a tertiary care centre

Sushila Kharkwal; Sanjaya Sharma; Kumari Manisha

doi:10.18203/2320-1770.ijrcog20162116

Authors

Sushila Kharkwal Department of Obstetrics and Gynaecology, MLB Medical College, Jhansi, Uttar Pradesh, India
Sanjaya Sharma Department of Obstetrics and Gynaecology, MLB Medical College, Jhansi, Uttar Pradesh, India
Kumari Manisha Department of Obstetrics and Gynaecology, MLB Medical College, Jhansi, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20162116

Keywords:

PPIUCD, Acceptance, PPFP counseling

Abstract

Background: According to Census 2011 the population of India on 1 March 2011 was 1, 210, 193, 422. In spite of availability of wide range of contraceptives, the unmet need for family planning in India is estimated to be 21.3% by DLHS III survey. IUDs are the most commonly used method of reversible contraception worldwide.

Methods: It was a prospective, comparative, interventional study conducted over a period of one year at department of obstetrics and gynaecology, MLB medical college Jhansi, comprised of 306 women divided into two groups. Females in group A (129) were primiparous and in group B (207) were multiparous. All antenatal women between 36-42 weeks of gestation who anticipate delivery and counseled were included. Medical eligibility criteria were used for client assessment.

Results: Majority of the females (around 50%) in both groups counseled prior to caesarean section. Around 43.7% females in both groups were counseled during early labour. Rest 5% females were counseled during their antenatal visits. There were 57.85% multiparous women who accepted PPIUCD. In primiparous women acceptance of PPIUCD was 42.15%. Acceptance of postpartum intrauterine contraceptive devices (PPIUCD) was significantly higher in multipara (57.85%). Most common reason behind acceptance was postpartum family planning (PPFP) counseling (~60%). Most common reason in multiparous women (57.84%) was completed family. Others common reasons were motivated by ASHA (11.11%), 6.54% wanted birth spacing.

Conclusions: Acceptance of PPIUCD was significantly higher in multiparous women than primiparous. Most common reason behind this increased acceptance was PPFP counseling.

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References

Census of India, provisional population totals, figures at a glance; 2011.

District level household and facility survey III (DLHS III). Ministry of health and family welfare, Government of India; 2007-08.

IUCD reference manual for medical officers and nursing personnel; 2013.

Hall JE. The female reproductive system, infertility and contraception, Harrison’s principles of internal medicine, 18th edition, chapter; 347:3037-38.

Williams textbook of Obstetrics, 23rd edition, Contraception, chapter 32; 684.

Conde-Agudelo A, Belizan JM. Maternal morbidity and mortality associated with inter pregnancy interval: cross sectional study. Br Med J. 2000;321(7271):1255-9.

Conde-Agudelo A, Rosas-Bermúdez A, Kafury-Goeta AC. Birth spacing and the risk of adverse perinatal outcomes: a meta-analysis. JAMA. 2006;295(15):1809-23.

Grimes DA, Schulz KF, Van Vliet H, Stanwood N. Immediate post-partum insertion of intrauterine devices. Cochrane Database Syst Rev. 2003(1):CD003036.

Katheit G, Agarwalet J. Evaluation of post-placental intrauterine device (PPIUCD) in terms of awareness, acceptance, and expulsion in a tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2013;2(4):539-43.

Mohamed SA, Kamel MA, Shaaban OM, Salem HT. Acceptability for the use of postpartum intrauterine contraceptive devices: The Assiut experience. Med Princ Pract. 2003;12(3):170-5.